Shane M. Tsubaki, PA-C
NPI 1336309384ActiveIndividual· Physician Assistant· Blaine, MN
Physician Assistant (PA-C) with Minuteclinic Diagnostic of Minnesota PA and 1 other group, practicing in Blaine, Minnesota. In 2024 Medicare paid $4,351 for 46 patients, and Part D covered 95 of their prescriptions, 86% of them generic.
Overview
| NPI | 1336309384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 12, 2008 |
| Last updated in NPPES | Dec 10, 2025 |
| Certified by provider | Dec 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 79 across 13 procedure codes |
| Paid by Medicare | $4,351 |
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 95 30-day fills |
|---|---|
| Patients | 74 |
| Total drug cost | $3,902 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Minuteclinic Diagnostic of Minnesota PABloomington, MN · 82 clinicians
- Minuteclinic Primary Care Minnesota PLLCBloomington, MN · 38 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 physician assistants in Blaine · All physician assistants in Minnesota